MERCY HOSPITAL OF FOLSOM

Issue: Based on staff interview and document review the facility failed to prevent an unauthorized disclosure (Breach) of 7 of 7 sampled patients' (patient 1-7) medical information (PHI). Findings:1. CA00425838 - On 1/5/15 the facility reported to the Department that on…

Outcome: Deficiency cited by the California Department of Public Health: Health & Safety Code 1280

Issue: Based on interview and facility's record review, the facility failed to prevent unlawful and unauthorized disclosure of Patient's Health Information (PHI) when an unintended recipient received a fax with the patient's PHI. This failure had the potential to jeopardize the…

Outcome: Deficiency cited by the California Department of Public Health: Health & Safety Code 1280

Issue: Based on staff interview and record review, the facility failed to prevent unauthorized access of patient medical information. A laboratory report was faxed to a wrong agency.Findings:The Department received a self-report dated 5/16/13 via fax that the facility detected a…

Outcome: Deficiency cited by the California Department of Public Health: Health & Safety Code 1280

Issue: Based on staff interview and documentation review, the facility failed to prevent the unauthorized disclosure of Patient 1's protected health information when Physician Assistant Certified 1 (PAC) printed and sent lab results home with the wrong patient. This failure had…

Outcome: Deficiency cited by the California Department of Public Health: Health & Safety Code 1280

Issue: Based on facility staff interview, policy review, and medical record review, the facility failed to prevent unauthorized access of Patient 1's Health Information (PHI). The information included personal, private, and confidential information. This failure had the potential to jeopardize the…

Outcome: Deficiency cited by the California Department of Public Health: Health & Safety Code 1280

Issue: Based on staff interview and record review, the facility failed to prevent unauthorized access of Patient Health Information (PHI) when Patient 1's Radiology Procedure Requisition was faxed to the wrong number.Findings:The Department of Public Health received a self report dated…

Outcome: Deficiency cited by the California Department of Public Health: Health & Safety Code 1280

Issue: Based on staff interview and record review, the facility failed to prevent unauthorized access to patient medical information. A return to work information notice for Patient 1 was unintentionally labeled with Patient 2's label containing the name, date of birth,…

Outcome: Deficiency cited by the California Department of Public Health: Health & Safety Code 1280

Issue: Based on staff interview and facility documentation review, the facility failed to prevent the unlawful or unauthorized disclosure of Patient 1's protected health information when Registered Nurse 1 (RN 1) discharged Patient 2 with the wrong prescription. This failure had…

Outcome: Deficiency cited by the California Department of Public Health: Health & Safety Code 1280

Issue: Based on observations, staff interviews and document review, the facility failed to maintain patient privacy when unattended electronic medical records (computer screens) with patient information were observed at the nurses' station unattended on 4/8/13. Findings: During an Initial Tour of…

Outcome: Deficiency cited by the California Department of Public Health: PATIENT RIGHTS: CONFIDENTIALITY OF RECORDS

Issue: Based on observation, staff interview, clinical record review and document review, the facility failed to ensure patient's rights to personal privacy for 2 of ten Intensive Care Unit (ICU) patients (Patients 1, 2) when:1) two of ten ICU patients (Patients…

Outcome: Deficiency cited by the California Department of Public Health: PATIENT RIGHTS: PERSONAL PRIVACY